Fellner, Dietrich Albert
Fellner, Dietrich Albert is an individual health care provider with primary practice located at 813 Independence Blvd , Virginia Beach VA 23455-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fellner, Dietrich Albert can be contacted via phone (757) 490-9091.Contact Information
Primary practice address
813 Independence Blvd
Virginia Beach VA 23455-6004
Phone: (757) 490-9091
Fax: (757) 490-3250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101232452 | Virginia |
Profile Details
| NPI number | 1922097179 |
|---|---|
| LBN Legal business name | Fellner, Dietrich Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | May 9th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922097179 | NPPES |
| Virginia | Other | 110252 | ANTHEM BLUE CROSS |
| Virginia | Other | 541206650 | ANTHEM BLUE CROSS |
| Virginia | MEDICAID | 010030013 | ANTHEM BLUE CROSS |
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